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Active NPI 1164038030 Individual Practitioner Male Practitioner

Dr. Taylor Austin Ellson , DMD

Dentist - General Practice • Shady Cove, OR

Professional Overview & Biography Verified Profile Summary

Dr. Taylor Ellson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Shady Cove, OR. Practice services are available at 21300 HIGHWAY 62 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21300 Highway 62

Shady Cove, OR 975397707

Telephone 5418782115
Fax 5418782117
Associated Practice Facility / Clinic
🏢 Shady Cove Family Dentistry Facility NPI 1376819656

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shady Cove, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Shady Cove, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11324

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Phillip Lassen , DMD

Dentist - General Practice

NPI 1053424622

Doctor of Dental Medicine

Carmen Mons , RDH, LAP

Dental Hygienist

NPI 1275699753

Registered Dental Hygienist, LAP

NPI 1396196473

Registered Dental Hygienist

NPI 1801912183

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2020

Registered at 21300 HIGHWAY 62, SHADY COVE, OR 975397707 (Tel: 5418782115)

📍
Updated Business Mailing Address September 16, 2020

Registered at PO BOX 1150, SHADY COVE, OR 975391150 (Tel: 5418782115)

👤
Provider Name / Credentials Updated September 16, 2020

Recorded as TAYLOR ELLSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2020

Dentist (License #D11324 in OR)

🟢
Initial NPI Registration & Enumeration September 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164038030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2020
Last Update: September 16, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 1150

Shady Cove, OR 975391150

Phone: 5418782115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.